Reflection On NMC Pin: Band 6 Midwife
Claire Phillips
Band 6 Midwife
NMC Pin: 12G2067E
Reflection
I hereby declare that this work is solely written by myself and has never been submitted to any other learning establishment
Description
Whilst working on the maternity ward as a band 6 qualified midwife, I was allocated to look after a patient who was 36 weeks gestation and had had a preterm rupture of membranes (PROM). This patient was given oral Erythromycin when she wasn’t prescribed it. This incident was reported by the patient herself to another midwife the morning after the alleged incident took place. Through accessing the patient’s notes following the alleged incident, I have noted that hr treatment sheet did not contain a prescription for Erythromycin. …show more content…
Further to this I also feel that my honesty is being questioned in relation to not escalating a drug error and no proof on the treatment sheet. Being accused of giving the drug and not escalating the drug error continues to affect me greatly at home and at work. I am very upset in relation to being accused of not escalating the alleged drug error as I was not informed of this error until almost 24 hours following the supposed error, to which I was informed that the escalation had already began.
Evaluation
A drug error in administration occurred during a busy shift on the maternity ward. The error was highlighted to the midwife in question by the then senior sister of the maternity ward. The midwife involved was informed of the said error 24 hours following the incident. The escalation of the error led to a supervisory and disciplinary hearing for midwife in question.
Analysis
The administration of medicines is an important aspect of the professional practice of a person whose name is on the professional register. It is not solely a mechanistic task to be performed in strict compliance with the written prescription of a medical practitioner; it also requires thought and the exercise of professional judgement (NMC, 2007). A healthcare professional may legitimately refuse to administer a particular medicine if they have sufficient doubts about the safety of clinical appropriateness (The Royal Wolverhampton …show more content…
Erythromycin belongs to a group of drugs called macrolide antibiotics. Macrolide antibiotics slow the growth of sensitive bacteria by reducing the production of important proteins that are needed by the bacteria to survive. The most common side effects of this drug include nausea, diarrhoea; dizziness and loss of appetite (BNF, 2015) The Royal Wolverhampton NHS trust have guidelines in place in view of preterm rupture of membranes. According to this policy women who are below 36 weeks gestation should be prescribed Betamethasone steroid and Erythromycin QDS to help eliminate the risks of infection to the baby and the reproductive organs (The Royal Wolverhampton NHS trust,
Band 6 Midwife
NMC Pin: 12G2067E
Reflection
I hereby declare that this work is solely written by myself and has never been submitted to any other learning establishment
Description
Whilst working on the maternity ward as a band 6 qualified midwife, I was allocated to look after a patient who was 36 weeks gestation and had had a preterm rupture of membranes (PROM). This patient was given oral Erythromycin when she wasn’t prescribed it. This incident was reported by the patient herself to another midwife the morning after the alleged incident took place. Through accessing the patient’s notes following the alleged incident, I have noted that hr treatment sheet did not contain a prescription for Erythromycin. …show more content…
Further to this I also feel that my honesty is being questioned in relation to not escalating a drug error and no proof on the treatment sheet. Being accused of giving the drug and not escalating the drug error continues to affect me greatly at home and at work. I am very upset in relation to being accused of not escalating the alleged drug error as I was not informed of this error until almost 24 hours following the supposed error, to which I was informed that the escalation had already began.
Evaluation
A drug error in administration occurred during a busy shift on the maternity ward. The error was highlighted to the midwife in question by the then senior sister of the maternity ward. The midwife involved was informed of the said error 24 hours following the incident. The escalation of the error led to a supervisory and disciplinary hearing for midwife in question.
Analysis
The administration of medicines is an important aspect of the professional practice of a person whose name is on the professional register. It is not solely a mechanistic task to be performed in strict compliance with the written prescription of a medical practitioner; it also requires thought and the exercise of professional judgement (NMC, 2007). A healthcare professional may legitimately refuse to administer a particular medicine if they have sufficient doubts about the safety of clinical appropriateness (The Royal Wolverhampton …show more content…
Erythromycin belongs to a group of drugs called macrolide antibiotics. Macrolide antibiotics slow the growth of sensitive bacteria by reducing the production of important proteins that are needed by the bacteria to survive. The most common side effects of this drug include nausea, diarrhoea; dizziness and loss of appetite (BNF, 2015) The Royal Wolverhampton NHS trust have guidelines in place in view of preterm rupture of membranes. According to this policy women who are below 36 weeks gestation should be prescribed Betamethasone steroid and Erythromycin QDS to help eliminate the risks of infection to the baby and the reproductive organs (The Royal Wolverhampton NHS trust,